EXCURSION INFORMATION FORM
Excursion Name
Student Council Planning Retreat
Transportation Details Date(s) and Times
Group Involved (Include approximate number)
Group Leader and any other Staff Involved
Destination Address
Meet at the Outward Bound Building at Evergreen Brickworks at 8:45am
Senior School Student Council Members (21 students)
Adina Fuss
Andrea Lossing
Elissa Kline-Beber
550 Bayview Ave., Toronto, ON M4W 3X8
Activity Description and Educational Rationale
The newly formed Student Council for 2023-2024 will have a chance to get to know each other and participate in team building activities which will include a series of icebreakers, de-inhibitizers, trust and communication and personal and group goal setting activities We’ll use of the climbing tower in smaller groups and have a cookout lunch. The afternoon will be spent planning for the upcoming school year and our fall excursion to Camp Timberlane.
Service Provider(s) Outward Bound
Emergency Contact Information Adina Fuss
Approximate Cost
416-999-6257
No
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Please note that once you have provided consent to have your child participate on the excursion you will Cost
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be charged for the expenses incurred on your child's behalf for this excursion. Where, after you have provided your consent, notice is given that your child cannot attend the excursion, efforts will be taken to avoid incurring expenses on your child's behalf for the excursion, and you will be only charged those expenses that could not be recouped.
Return Level II VO Form via YorkNet by Thursday, June 1, 2023
What to Bring
Sun Protection: Where a trip involves your child being outside between 11:00 AM and 4:00 PM, or the UV rating is predicted to be 3 or greater, remind parents to provide children with the following: sunscreen, hat and water bottle. Sunglasses that protect against UV-A and UV-B rays are also recommended.
Closed Toed Shoes (Sneakers/Running Shoes)
Sun Screen Water Bottle Hat Pen
Activities to be undertaken by students:
Team Building Initiatives
Rock Climbing
Cookout
Planning indoors
Student preparation for excursion:
Nothing
Follow-up: N/A
Risk Assessment
Specific Risks Identified:
Students may be exposed to a number of physical injuries including: cuts, scrapes, broken bones, bruising, sprains, head injury, concussions, and slips, trips, and falls from heights while rock climbing Students are at risk of temperature related injuries from physical activity outdoors and cooking at the campfire. While on this excursion, students are at risk of getting lost or separated from the group, as well as damage or loss of property While on this excursion with other students and staff, students are also at risk of exposure to COVID-19 There is also the risk of a traffic accident when en route
Precautions to be taken to reduce risks:
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Pre-trip preparation will include briefing on routes, boundaries, safety rules and emergency procedures, including contingency plans in case of separation All trip equipment and gear will be checked by staff before departure. Students will be oriented to new sites. Boundaries and out-of-bound areas will also be described Teachers will carry a cell phone, medical and contact information for their groups and first aid kits. Each teacher is trained in first aid. Students will be paired in a buddy system At minimum, 1:10 staff to student ratio will be maintained
Everyone will exercise precautions to avoid sun burns and heat related issues by applying sunscreen, wearing a hat and/or sunglasses, and monitoring time spent in direct sunlight
Precautions to reduce exposure to COVID-19: In terms of covid precautions, we will follow the school’s policy at the time of the excursion Further information will be shared prior to the excursion
Contingency plan for bad weather/trip interruption: This trip is weather dependent and may be called off due to serious rain, high winds, or cold If there is a need to adapt plans while on the excursion, parents would be contacted for updates and further action plans Programme goals would be adjusted according to the situation
Location of nearest Emergency Medical Service: Toronto General Hospital, 200 Elizabeth St, Toronto, ON M5G 2C4
Arrangements to be made to transport person/group to EMS (including route to be taken):
In the event of a student with an injury, an adult would stay with the injured students and apply any necessary first aid A second adult would ensure the rest of the group is safe and stable However, if there is a major accident requiring EMS, a York School staff would accompany any student who would need to be taken to hospital Teachers will keep in contact with The York School and parents will be kept updated on the incident
SPECIFIC EXCURSION RULES
In addition to the expectations set out in the Code of Conduct, the following rules will apply during this trip:
Dress: Students must wear appropriate clothing for the activity, location and weather You are representing The York School and casual wear rules will be in effect: clothing must be neat, clean and should not display objectionable words, phrases, pictures or symbols Students must dress respectably Students must wear shoes or boots that are suitable for extended periods of walking
Personal Electronic Equipment: Phones allowed for exchanging contact information
Independent Time Protocol will be followed: Students will be paired with a buddy and must not venture out alone During independent time, students will be provided with a map of the area and geographic limits will be identified for students. When given the opportunity to venture away from the group, they must remain within specific geographic limits and will check in periodically with a teacher at a specific place and time. Students will have cell phone contact numbers for teachers.
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Students will be made aware of the risks and will discuss the importance of being aware and vigilant. Independent time protocols will be followed and will only take place in areas deemed safe in advance
ACKNOWLEDGEMENT, CONSENT, AND RELEASE
The following sets out statements to which, you, the parent(s), must agree by signing electronically below in order for your child to be permitted to participate in the intended trip Should you have questions regarding any of the statements below, you may contact the Divisional Principal or Experiential Educator, Barb Prevedello, at bprevedello@yorkschool com (416-926-1325 Ext 1439) I/We understand, as the parent or guardian of the student named above, that students on York School trips are expected to participate fully in all activities undertaken during and in preparation for the trip, and that they must conduct themselves in a manner befitting of their role as ambassadors for the school community I/We further understand that all students will be bound by The York School Code of Conduct and any additional rules and regulations listed in this information package and/or discussed and implemented while on the trip, and that any infraction of these rules may, at the discretion of the trip leader, result in the immediate return of the student to Toronto Responsibility and payment for these arrangements will be borne by the parent/guardian. Any infraction of these rules may, at the discretion of the Division Head, result in appropriate disciplinary action including suspension from subsequent trips.
I/We have reviewed the contents of this information package and Code of Conduct expectations, rules and consequences with our child I/We, the undersigned, consent to the participation of our child (as noted above) in The York School trip to Evergreen Brickworks on Wednesday, June 14th
Details concerning this event, including activities, travel, supervision, location and safety precautions have been communicated to us and are understood In particular, we are aware that students will be engaged in the following activities: teambuilding initiatives, rock climbing on a rock wall, and a cookout with a campfire
Our emergency contact information is up to date I/We agree to update the information with the trip leader if changes occur prior to the trip start date
I/We have reviewed the Trip Plan and are aware that this excursion may expose my/our child to the following risks: Students may be exposed to a number of physical injuries including: cuts, scrapes, broken bones, bruising, sprains, head injury, concussions, and slips, trips, and falls from heights while rock climbing Students are at risk of temperature related injuries from physical activity outdoors and cooking at the campfire While on this excursion, students are at risk of getting lost or separated from the group, as well as damage or loss of property While on this excursion with other students and staff, students are also at risk of exposure to COVID-19. There is also the risk of a traffic accident when en route
I/We, the undersigned, grant the trip supervisors appointed by The York School permission to act on my/our behalf and to consent, to any medical, dental or surgical treatment, including pain relief and admission to hospital which may be required for my/our child, in the opinion of a qualified medical practitioner if, after reasonable attempts have been made to contact me/us at the phone numbers provided to the school, I/we cannot be reached I/We do hereby release The York School, its directors, employees and its agents, from every manner of suit, claim or legal action which may arise as a result of an injury to, or the death of, my/our child sustained by reason of my/our child’s participation in this excursion. As parent(s) of the child above, I/we 1. acknowledge that I/we understand the statements made regarding the intended excursion with respect to 2022 | 2023
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expected behavior, consequences for misbehavior, and the details of the trip, including activities and risks, 2. consent to my/our child’s full participation in the trip, and to the school taking the measures set out above in response to any medical emergency that may arise, and 3 release the school from legal action arising from injury or death according to the terms set out above.
CODE OF CONDUCT
I understand, as the parent or guardian of the student named above, that students on York School trips are expected to participate fully in all activities undertaken during and in preparation for the trip, and that they must conduct themselves in a manner befitting their role as ambassadors for the school community We further understand that all students will be bound by The York School Code of Conduct and any additional rules and regulations listed in this information package and/or discussed and implemented while on the trip, and that any infraction of these rules may, at the discretion of the trip leader, result in the immediate return of the student to Toronto at the parent/guardian’s expense and that any infraction of these rules may, at the discretion of the Division Head, result in disciplinary action. We have reviewed the contents of this information package and Code of Conduct expectations, rules and consequences with our child
Please Note:
This copy of the Venturing Out Package is for reference only. Log on to your YorkNet account at https://yorkschool.myschoolapp.com/app#login to complete your child’s VO Package and give consent for their participation in this excursion.
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